Individual
MRS. DANA E MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4175
(607) 773-4212
Mailing address
413B MAIN ST, HALLSTEAD, PA 18822-9292
(570) 396-3969
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
612253
NY
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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